Organization · Type 2 NPI

Jefferson Comprehensive Health Center Inc

Federally Qualified Health Center (FQHC) · Fayette, MS

NPI number 1891328480 Active

Practice location

405 Main St
Fayette, MS 39069-5576

Call (601) 786-3475 Map

Fax (601) 786-6320

Mailing address

PO Box 98
Fayette, MS 39069-0098

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Jefferson Comprehensive Health Center, Inc.Federally Qualified Health Center (FQHC) Fayette, MS NPI 1962517185
James L. Wootton Iii, MDFamily Medicine Physician Fayette, MS NPI 1114184249

Other federally qualified health center (fqhc) providers in Fayette

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NPI record

NPI: 1891328480
Entity type: Organization (Type 2)
Issued: Feb 21, 2020
Last updated: Jun 10, 2026
Status: Active

Other names

Jefferson Comprehensive Health Center, Inc. Medical/dental Mobile Unit · doing business as

Authorized official

Monica Lowe
Insurance Credentialing Specialist
(601) 786-3475

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891328480

Jefferson Comprehensive Health Center Inc's National Provider Identifier is 1891328480, issued on Feb 21, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Fayette, MS. The record was last updated on Jun 10, 2026.